City of Rancho Palos Verdes Electronic Submittal

2. Code Enforcement Investigation Request Form
4. Date
   Date
   Please input the date of submission.
6. Alleged Violation

   Please check all that apply

   1. Abandoned/Inoperable Vehicles
   2. Illegal Grading
   3. Illegal Short-Term Rental

   1. Inadequate Landscaping
   2. Leaf-Blowers
   3. Property Maintenance

   1. Signs
   2. Swales
   3. Trashcans

   1. Work without Permits
   2. Other
8. Other
   Please describe the other alleged violations that are not covered on this form.
10. Address of alleged violation
    Please write the address of the alleged violation. Please link any photos with drawings that pertain to the violation if needed.
14. Reporting Party Information
    Please note that if the information is incorrect, insufficient, or left black, the investigation may be hindered and we will be unable to contact you.
16. First Name*
17. Last Name*
19. Anonymous

    1. Please check to remain anonymous
21. Address1*
23. Phone Number*
25. Email
    Other information that you would like for us to contact you by.
27. File Upload
    A detailed photo
Leave This Blank:


29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit

* indicates a required field